Orthodontics for Children: Addressing Crossbite Issues

Orthodontics

Hello, I have a question regarding my child's orthodontic issues.
My child is currently in middle school and has had a crossbite since birth, although it wasn't very noticeable and there were no signs of misalignment.
However, after entering elementary school, I noticed that my child's mouth shape has become increasingly asymmetrical.
When asked to open their mouth in an "ah" shape, I can see that the bone structure on both sides looks different, as if one side is missing a piece of bone.
Recently, I saw a report on CTS News about a crossbite correction device that claims to work in just 21 days.
I would like to know if this treatment method could be suitable for my child's situation.
Thank you, a very concerned mom.

A-Yun, 40~49 year old female. Ask Date: 2008/03/19

Dr. Huang Zhicheng reply Dentistry

Malocclusion, specifically an underbite, is characterized by the excessive growth of the mandibular condyle, resulting in a condition where the lower jaw is larger than the upper jaw.
If this condition is hereditary, it typically requires surgical intervention for correction.
However, if it can be treated with orthodontic appliances, it is classified as a pseudo-underbite.
Therefore, it is recommended to consult an orthodontic specialist for analysis based on cephalometric X-rays to determine the appropriate treatment approach.

Reply Date: 2008/03/19

More Info

Hello! Thank you for reaching out with your concerns regarding your child's orthodontic issues. It's understandable to feel worried when it comes to your child's dental health, especially with the complexities of crossbite and other alignment problems. Let's break down your questions and provide some insights into orthodontic treatment for children.

Understanding Crossbite and Its Implications
A crossbite occurs when the upper teeth do not properly align with the lower teeth when biting down. This misalignment can happen on one side (unilateral) or both sides (bilateral) and can lead to various issues, including uneven wear on teeth, jaw discomfort, and aesthetic concerns. In your child's case, the presence of a crossbite since birth, along with the asymmetry in the jawline, suggests that early intervention may be beneficial.

Impact on Growth and Development
The development of the jaw and teeth is crucial during childhood and adolescence. If left untreated, a crossbite can lead to more severe dental issues, including tooth decay, gum disease, and even jaw problems. Additionally, the aesthetic aspect can affect a child's self-esteem and social interactions. Therefore, addressing these concerns early on is essential.

Appropriate Age for Treatment
Orthodontic treatment can begin as early as age 7, when the first permanent molars and incisors have erupted. Early intervention can help guide the growth of the jaw and incoming permanent teeth. In your child's case, since they are already in middle school, it is advisable to consult an orthodontist as soon as possible. The orthodontist will evaluate the severity of the crossbite and the asymmetry in the jaw to determine the best course of action.

Treatment Options
There are various treatment options available for crossbite correction:
1. Braces: Traditional braces are a common method for correcting crossbites. They apply continuous pressure to the teeth, gradually moving them into the correct position.

2. Palatal Expanders: If the crossbite is due to a narrow upper jaw, a palatal expander may be used to widen the jaw, allowing for better alignment of the teeth.

3. Functional Appliances: These devices can help in guiding the growth of the jaw and correcting bite issues.

4. Clear Aligners: For some cases, clear aligners like Invisalign may be an option, especially for older children and teenagers.

DIY Solutions and Their Limitations
While there may be products marketed for quick fixes, such as the "21-day" devices you mentioned, it is crucial to approach these with caution. Orthodontic treatment should be tailored to the individual needs of the child, and using a one-size-fits-all solution can lead to more harm than good. Consulting with a qualified orthodontist is the best way to ensure that your child receives the appropriate treatment.

Conclusion
In summary, it is essential to have your child evaluated by an orthodontist to determine the best course of action for their crossbite and jaw asymmetry. Early intervention can lead to better outcomes and prevent further complications down the line. While it may be tempting to seek quick solutions, professional guidance is crucial for effective and safe treatment. I hope this information helps alleviate some of your concerns, and I wish you and your child the best on this journey toward a healthier smile!

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